Active NPI
Safe Exit Initiative (Sei), Inc.
- Substance Abuse Rehabilitation Facility
- Worcester, MA
National Provider Identifier
1104469592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SAFE EXIT INITIATIVE (SEI), INC.
- Practice address
- 40 Mendon St
Worcester, MA 01604-4824 - Phone
- (508) 471-5868
- NPI assigned
- Oct 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Ross Escobar, JD
- Title
- Co-Ceo & Coo
- Phone
- (617) 312-0848
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
40 Mendon St
Worcester, MA 01604-4824
Mailing address
534 Cambridge St
Worcester, MA 01610-2646
Phone (508) 471-5868
Other names 2
- Jana's Place
- Living In Freedom Together, Inc. LIFT
National Provider Directory
National Provider DirectoryLocations
534 Cambridge St
Worcester, MA 01610
34 Cedar St
Ste 301
Worcester, MA 01609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741824000000",
"number": "1104469592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 CAMBRIDGE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102646",
"telephone_number": "508-471-5868",
"fax_number": "508-762-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MENDON ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044824",
"telephone_number": "508-471-5868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE EXIT INITIATIVE (SEI), INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-18",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A",
"authorized_official_last_name": "ESCOBAR",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "CO-CEO & COO",
"authorized_official_telephone_number": "617-312-0848",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jana's Place",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Living In Freedom Together, Inc. LIFT",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.